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1134101918
CARLOS E. DOMINGUEZ
JUANA DIAZ, PR
NPI
1134101918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 5974)
Enumeration Date
2005-11-16
Last Update Date
2013-09-03
Business Address
Dr. CARLOS E. DOMINGUEZ MD
168A CALLE LAS FLORES
JUANA DIAZ, PR 00795-2532
Phone number: 787-837-2923
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Mailing Address
Dr. CARLOS E. DOMINGUEZ MD
PO BOX 1418
JUANA DIAZ, PR 00795-1418
Phone number: 787-837-2923
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